@layout("/common/_form.html",{js:["/assets/students/students_edit.js"]}){

<form class="layui-form" id="studentsForm" lay-filter="studentsForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">学生姓名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="studentName" name="studentName" placeholder="请输入学生姓名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">出生年月<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="dateOfBirth" name="dateOfBirth" placeholder="请输入出生年月" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">身份证号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="idcard" name="idcard" placeholder="请输入身份证号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系电话<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="cellPhoneNumber" name="cellPhoneNumber" placeholder="请输入联系电话" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">家庭住址<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="homeAddress" name="homeAddress" placeholder="请输入家庭住址" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系人电话<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="contactPhone" name="contactPhone" placeholder="请输入联系人电话" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系人关系<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="contactRelation" name="contactRelation" placeholder="请输入联系人关系" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">紧急联系人电话<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="emergencyContactPhone" name="emergencyContactPhone" placeholder="请输入紧急联系人电话" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">紧急联系人关系<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="emergencyContactRelation" name="emergencyContactRelation" placeholder="请输入紧急联系人关系" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">学历<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="diploma" name="diploma" placeholder="请输入学历" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">招生来源(1转介绍，2渠道，3院校大学生，4网络渠道)<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="source" name="source" placeholder="请输入招生来源(1转介绍，2渠道，3院校大学生，4网络渠道)" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">学院名称<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="collegeName" name="collegeName" placeholder="请输入学院名称" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">学习月份<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="months" name="months" placeholder="请输入学习月份" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">性别<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="sex" name="sex" placeholder="请输入性别" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">状态<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="status" name="status" placeholder="请输入状态" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">专业<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="specialtyId" name="specialtyId" placeholder="请输入专业" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">班级<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="teamId" name="teamId" placeholder="请输入班级" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">密码<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="password" name="password" placeholder="请输入密码" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">盐<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="salt" name="salt" placeholder="请输入盐" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">头像<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="headerUrl" name="headerUrl" placeholder="请输入头像" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">备注<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="remark" name="remark" placeholder="请输入备注" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}